Vitreous surgery for bilateral bullous retinal detachment in Vogt-Koyanagi-Harada syndrome.

Ophthalmic surgery and lasers Pub Date : 2002-11-01
Satoko Gaun, Yasuo Kurimoto, Yusuke Komurasaki, Nagahisa Yoshimura
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Abstract

A successful surgical treatment (vitrectomy) for bilateral bullous retinal detachment in a patient with Vogt-Koyanagi-Harada (VKH) disease is reported. A 78-year-old woman had severe reduction of visual acuity in both eyes because of an extremely bullous nonrhegmatogenous retinal detachment accompanied by VKH disease. We performed lens extraction and vitrectomy on both eyes combined with systemic and topical corticosteroid therapy. The retina was reattached immediately after the surgery and her visual acuity promptly improved in both eyes. She had no recurrence of retinal detachment even after tapering the dose of corticosteroid. We suggest that vitrectomy may be an effective therapeutic option in the treatment for severe bullous retinal detachment associated with VKH disease.

玻璃体手术治疗Vogt-Koyanagi-Harada综合征双侧大疱性视网膜脱离。
报告一例Vogt-Koyanagi-Harada (VKH)病患者双侧大疱性视网膜脱离的成功手术治疗(玻璃体切除术)。一位78岁的女性双眼视力严重下降,因为一个巨大的非孔源性视网膜脱离并伴有VKH疾病。我们对双眼进行晶状体摘除和玻璃体切除,并结合全身和局部皮质类固醇治疗。手术后视网膜立即被重新附着,她的双眼视力迅速改善。即使在逐渐减少皮质类固醇的剂量后,她也没有复发视网膜脱离。我们认为玻璃体切除术可能是治疗与VKH疾病相关的严重大疱性视网膜脱离的有效选择。
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